DB43-T 2307-2022 突發(fā)公共衛(wèi)生事件致人死亡殯葬服務(wù)規(guī)范

ICS

.200CCS

43湖 南 省 地 方 標(biāo) 準(zhǔn)DB43/T

2307—2022Specification

for

funeral

and

interment

services

causedby

public

health

emergencies2022

-

03

-

31

發(fā)布

2022

-

-

實(shí)施湖南省市場監(jiān)督管理局

發(fā)

布DB43/T

2307— 前言························································································································

Ⅲ1 ·····················································································································

12規(guī)范性引用文件······································································································13術(shù)語和定義············································································································14 ·····················································································································

25 服務(wù)人員要求·········································································································25.1 人員組成·········································································································25.2 職責(zé)···············································································································25.3 人員管理要求···································································································26 服務(wù)要求···············································································································36.1遺體接運(yùn)服務(wù)要求·····························································································

36.2 遺體接運(yùn)車輛要求·····························································································

36.3 遺體火化要求···································································································37傳染病防控要求······································································································47.1 個(gè)人防護(hù)·········································································································47.2 健康監(jiān)測(cè)·········································································································47.3 全過程消毒處理································································································

4附錄

A（規(guī)范性） 遺體接收登記表················································································6附錄

B（規(guī)范性） 終末消毒記錄表················································································7附錄

C（規(guī)范性） 火化單····························································································

8附錄

D（規(guī)范性） 骨灰存放信息表················································································9附錄

E（規(guī)范性）預(yù)防性消毒過程記錄表·····································································

10DB43/T

2307— 本文件按照

GB/T

—2020《標(biāo)準(zhǔn)化工作導(dǎo)則第

1

部分：標(biāo)準(zhǔn)化文件的結(jié)構(gòu)和起草規(guī)則》的規(guī)定起草。請(qǐng)注意本文件的某些內(nèi)容可能涉及專利。本文件的發(fā)布機(jī)構(gòu)不承擔(dān)識(shí)別專利的責(zé)任。本文件由湖南省民政廳提出并歸口。病預(yù)防控制中心、湖南省標(biāo)準(zhǔn)化研究院、湖南唐人萬壽園。丹丹、蘇泉、羅麗芬、舒濤。IIIDB43/T

2307—1

要求等內(nèi)容。其他突發(fā)公共衛(wèi)生事件致人死亡的殯葬服務(wù)不適用本文件。2

規(guī)范性引用文件文件。GB

18466 醫(yī)療機(jī)構(gòu)水污染物排放標(biāo)準(zhǔn)GB

19053 殯儀場所致病菌安全限值GB

19193—2015 疫源地消毒總則GB/T

23287—2009 殯葬術(shù)語MZ/T

—2011 殯葬服務(wù)術(shù)語WS/T

—2020人群聚集場所手衛(wèi)生規(guī)范WS/T

—2021 新冠肺炎疫情期間現(xiàn)場消毒評(píng)價(jià)標(biāo)準(zhǔn)3

術(shù)語和定義GB/T

23287—2009

和

MZ/T

017—2011

界定的以及下列術(shù)語和定義適用于本文件。3.1預(yù)防性消毒

disinfection在沒有明確的傳染源存在時(shí)，對(duì)可能受到病原微生物污染的場所和物品進(jìn)行的消毒。3.2疫源地消毒 disinfection

focus對(duì)疫源地內(nèi)污染的環(huán)境和物品的消毒。疫源地是傳染源排出的病原微生物所能波及的范圍。3.3終末消毒

disinfection傳染源離開疫源地后，對(duì)疫源地進(jìn)行一次徹底的消毒。3.4消毒過程評(píng)價(jià) disinfection

現(xiàn)場消毒工作是否合格。DB43/T

2307—3.5消毒效果評(píng)價(jià) disinfection

effect

evaluation格。4

4.1

“重大傳染病疫情、群體性不明原因疾病”公共衛(wèi)生事件等致人死亡突發(fā)公共衛(wèi)生事件期間，殯葬服務(wù)機(jī)構(gòu)宜按照“統(tǒng)一領(lǐng)導(dǎo)、統(tǒng)籌協(xié)調(diào)、分級(jí)負(fù)責(zé)”的原則成立遺體處置應(yīng)急服務(wù)小組。4.2 殯葬服務(wù)機(jī)構(gòu)宜設(shè)立應(yīng)急電話專線，24

小時(shí)內(nèi)均有服務(wù)人員值班。4.3

殯葬服務(wù)機(jī)構(gòu)應(yīng)根據(jù)重大傳染病疫情、群體性不明原因疾病等突發(fā)公共衛(wèi)生事件實(shí)際情況，設(shè)立應(yīng)急隔離區(qū)域。4.4

遺體火化宜由當(dāng)?shù)貧泝x館或民政部門指定的殯儀館負(fù)責(zé)承辦。重大傳染病疫情、群體性不明原因疾病等突發(fā)公共衛(wèi)生事件時(shí)，遺體宜按就近原則火化。4.5 應(yīng)急服務(wù)期間，不宜進(jìn)行遺容瞻仰、守靈以及告別等服務(wù)活動(dòng)。4.6

殯葬服務(wù)機(jī)構(gòu)宜設(shè)立應(yīng)急隔離室。發(fā)現(xiàn)疑似突發(fā)公共衛(wèi)生事件感染人員，應(yīng)立即中止服務(wù)進(jìn)行隔離，并及時(shí)報(bào)告當(dāng)?shù)丶膊☆A(yù)防控制機(jī)構(gòu)，排除危險(xiǎn)后才能恢復(fù)工作。5

服務(wù)人員要求5.1 人員組成

5

1

2

體火化工

1

名、專業(yè)消毒人員

1

名。5.2 職責(zé)5.2.1 駕駛員負(fù)責(zé)安全駕駛專用運(yùn)尸車，并協(xié)助遺體接運(yùn)工進(jìn)入指定地點(diǎn)接運(yùn)遺體與車輛消毒。5.2.2 遺體接運(yùn)人員負(fù)責(zé)搬運(yùn)遺體。5.2.3 遺體火化人員負(fù)責(zé)遺體火化工作。5.2.4 員負(fù)責(zé)殯葬服務(wù)機(jī)構(gòu)內(nèi)部相關(guān)區(qū)域的全面徹底消毒。消毒人員應(yīng)經(jīng)過嚴(yán)格培訓(xùn)合格，熟練掌握各區(qū)域的消毒方法與要求，熟悉消毒產(chǎn)品性能、設(shè)施的使用和注意事項(xiàng)，做好詳細(xì)消毒記錄。5.3 人員管理要求5.3.1 殯葬服務(wù)機(jī)構(gòu)應(yīng)加強(qiáng)對(duì)殯儀應(yīng)急服務(wù)人員的衛(wèi)生知識(shí)培訓(xùn)和技能指導(dǎo)。培訓(xùn)內(nèi)容應(yīng)包括國家相關(guān)法律法規(guī)、根據(jù)消毒對(duì)象正確選擇合適的消毒方法、安全操作以及個(gè)人衛(wèi)生防護(hù)等。5.3.2 殯葬應(yīng)急服務(wù)場所入口至少配備全自動(dòng)紅外線體溫檢測(cè)儀

1

臺(tái)。服務(wù)人員進(jìn)入工作區(qū)前，應(yīng)進(jìn)行體溫檢測(cè)，體溫正常，方可進(jìn)入。5.3.3 應(yīng)急服務(wù)期間，服務(wù)人員應(yīng)每

8

小時(shí)測(cè)體溫

1

次，體溫超過

℃時(shí)應(yīng)暫停應(yīng)急服務(wù)；宜每24

小時(shí)做核酸檢測(cè)

1

次，核酸陽性時(shí)應(yīng)及時(shí)隔離。5.3.4 殯葬服務(wù)機(jī)構(gòu)宜為應(yīng)急服務(wù)人員建立個(gè)人健康信息檔案，保證身體健康狀況良好。DB43/T

2307—6

服務(wù)要求6.1 遺體接運(yùn)服務(wù)要求6.1.1 遺體接運(yùn)前應(yīng)做好遺體信息登記，具體要求見附錄

A。6.1.2 接觸遺體的服務(wù)人員應(yīng)按要求做好個(gè)人防護(hù)。6.1.3 遺體處理前服務(wù)人員應(yīng)根據(jù)死亡原因事先制定具體移動(dòng)的計(jì)劃和步驟。6.1.4 遺體處理時(shí)應(yīng)按

19193—2015

的規(guī)定進(jìn)行消毒處理后，裝入不透水的雙層尸體袋內(nèi)并密封，每層密封袋外應(yīng)噴灑有效氯

10000

mg/L

防止二次污染。6.1.5 遺體搬運(yùn)時(shí)，應(yīng)確認(rèn)雙層尸袋密封性是否完好，再貼上感染風(fēng)險(xiǎn)標(biāo)簽；嚴(yán)禁遺體體液、分泌物溢出，如有發(fā)生應(yīng)立即采取有效措施，用高效消毒液擦拭消毒。6.1.6 應(yīng)提前規(guī)劃接運(yùn)路線，應(yīng)在避開人口密集區(qū)條件下選擇最短路線，中途不隨意停留；遺體接運(yùn)人員在辦完接運(yùn)手續(xù)后，應(yīng)將遺體直接送至專用火化爐。6.1.7 遺體處理不得妨礙公共秩序、危害公共安全，不得侵者他人的合法權(quán)益；遺體處理期間，服務(wù)人員應(yīng)做好人文關(guān)懷工作。6.2 遺體接運(yùn)車輛要求6.2.1 專車專用隨帶遺體接運(yùn)記錄本，詳細(xì)記錄接運(yùn)遺體的時(shí)間、地點(diǎn)等基本情況。6.2.2 車輛設(shè)備要求駕駛室與車廂應(yīng)完全密封隔離；車內(nèi)應(yīng)設(shè)置清潔區(qū)域，配備防護(hù)用品、消毒液、快速手消毒劑等；車內(nèi)宜安裝可移動(dòng)紫外線空氣消毒器

1

1

進(jìn)行體溫檢查。6.2.3 消毒處理運(yùn)輸前應(yīng)對(duì)車輛進(jìn)行消毒處理，消毒時(shí)需車內(nèi)無人且關(guān)閉門窗，消毒作用時(shí)間大于

30

分鐘；車輛

B。6.2.4 車輛管理人員應(yīng)加強(qiáng)專用工作車輛管理，不得隨意挪做他用或搭載無關(guān)人員。6.3 遺體火化要求6.3.1 遺體火化前要求遺體火化前要求如下：設(shè)備，確保設(shè)備運(yùn)行正常；——不得打開裝殮遺體的密封包裝袋；遺體運(yùn)至指定火化地點(diǎn)后，應(yīng)盡減少二次搬運(yùn)距離并盡早火化；DB43/T

2307—做好火化詳細(xì)記錄，填寫火化單，具體要求見附錄

C；中、火化后及骨灰包裝四個(gè)連續(xù)階段；火化師應(yīng)妥善保管好相關(guān)影像資料并存檔。6.3.2 火化后要求火化后要求如下：——冷卻骨灰，按規(guī)定要求清除骨灰中雜質(zhì)；——專用包裝袋收殮骨灰并粘貼逝者的姓名和編號(hào)等信息。6.3.3 骨灰存放與領(lǐng)取6.3.3.1 骨灰存放時(shí)應(yīng)做好詳細(xì)記錄，填寫相應(yīng)表格，具體見附錄

D。6.3.3.2 重大傳染病疫情、群體性不明原因疾病等突發(fā)公共衛(wèi)生事件期間，所有骨灰應(yīng)暫停發(fā)放。6.3.3.3 骨灰領(lǐng)取宜在突發(fā)公共衛(wèi)生事件處理妥善之后再在當(dāng)?shù)叵嚓P(guān)部門統(tǒng)一安排下有序進(jìn)行。7

傳染病防控要求7.1 個(gè)人防護(hù)7.1.1 重大呼吸道傳染病疫情致人死亡時(shí)，服務(wù)人員個(gè)人防護(hù)應(yīng)按生物安全二級(jí)防護(hù)要求進(jìn)行。7.1.2 重大腸道道傳染病疫情致人死亡時(shí)，服務(wù)人員個(gè)人防護(hù)應(yīng)按接觸防護(hù)要求進(jìn)行。7.1.3 7.1.4 服務(wù)人員應(yīng)按

699—2020

的規(guī)定進(jìn)行手衛(wèi)生處理。7.1.5

1000

mg/L

有效氯的消毒劑浸泡

30

分鐘以上后再進(jìn)行常

5000

mg/L

袋密封后再用相同濃度消毒劑噴灑密封袋外表面，按傳染性廢棄物進(jìn)行無害化處理。7.2 健康監(jiān)測(cè)同時(shí)送醫(yī)院隔離治療，待正常后才能恢復(fù)工作。7.3 全過程消毒處理7.3.1 預(yù)防性消毒在服務(wù)全過程中，應(yīng)及時(shí)做好預(yù)防性消毒工作，并做好相關(guān)記錄，記錄表見附錄

E。7.3.2 專用運(yùn)尸車消毒7.3.2.1

專用運(yùn)尸車。不用時(shí)應(yīng)定期清潔通風(fēng)；每次使用后，按終末消毒要求進(jìn)行消毒處理?？捎糜行?/p>

1000

mg/L～

0

mg/L

的含氯消毒劑進(jìn)行噴灑或擦拭，消毒作用時(shí)間

分鐘。無可見污染物時(shí)，用

1000

mg/L

的含氯消毒液或

mg/L

的二氧化氯消毒劑進(jìn)行噴灑至車輛內(nèi)物體表面濕潤，作用

分鐘；有可見污染物時(shí)，應(yīng)先使用一次性吸水材料沾取

5000

mg/L～10000

mg/L

的含氯消毒液(到高水平消毒的消毒濕巾/干巾)完全清除污染物，再按照車輛無可見污染物處理。20～30

m1/m

，噴霧消毒作用

～20～30

m1/m

，噴霧消毒作用

～

分鐘，然后開門開窗通風(fēng)。7.3.2.2 應(yīng)及時(shí)做好詳細(xì)清潔消毒工作記錄和標(biāo)識(shí)。7.3.3 殯葬服務(wù)區(qū)域消毒7.3.3.1

殯葬公共區(qū)域、遺體停放區(qū)域、工作用房及房間（如靈堂、接待室等）物體表面清潔消毒。不用時(shí)應(yīng)定期清潔，使用時(shí)可用有效氯

mg/L～1000

mg/L

的含氯消毒劑進(jìn)行噴灑或擦拭，每天上午下午至少各

1

7.3.3.2

空氣消毒。不用時(shí)，定期通風(fēng)或機(jī)械通風(fēng)。當(dāng)遺體存放后的場所室內(nèi)空氣按終末消毒要求處理。應(yīng)在無人情況下，關(guān)閉門窗，使用

3％的過氧化氫或

0.2％過氧乙酸消毒劑，用氣溶膠噴霧器，按37.3.4 可用流通蒸汽或煮沸消毒

30

，或先用有效氯

mg/L

的含氯消毒液浸泡

min，然后常規(guī)清洗。7.3.5 衛(wèi)生潔具消毒用有效氯

mg/L～1000

mg/L

的含氯消毒劑浸泡或擦拭消毒，消毒

分鐘后用清水沖洗干凈。工作用房保潔用具應(yīng)專用，做到一房一用一消毒，確保拖把與抹布等保潔用具不交叉使用。7.3.6 餐（飲）具消毒去殘?jiān)⑶逑春?，煮沸或流通蒸汽消?/p>

min；或采用熱力消毒柜等消毒方式，服務(wù)人員餐（飲）具應(yīng)一人一具一用一消毒。7.3.7 液體污染物消毒分泌物、排泄物、胸腹水、血液等，用

5000

mg/L

有效氯的含氯消毒液或

mg/L

過氧乙酸溶液消毒，作用

30

min～60

。7.3.8 廢棄